Knowledge, Attitudes, and Practice Regarding the Use of Physical Restraints Among ICU Nurses at Palestinian Hospitals in North Area of West Bank رسالة ماجستير

Abstract

Background: In intensive care units, physical restraints are frequently used to ensure patient safety but can lead to complications. Research shows that nurses often lack knowledge about proper restraint use, alternatives, and documentation. Aim: This study was conducted to assess the knowledge, attitudes, and practices of nurses regarding the use of physical restraints in the intensive care units within hospitals in the north area of West Bank. Population and Sample: The target population for this study includes all ICU nurses in Palestine, while the accessible population focuses specifically on ICU nurses in hospitals in the northern West Bank region. 180 ICU nurses in hospitals in the northern West Bank, Palestine, were conveniently recruited based on predetermined inclusion criteria. Methods: The study used a cross-sectional design, data were collected between February 2024 and May 2024 through self-report questionnaires on nurses' knowledge, attitudes, and practices regarding the use of physical restraints. The study took place in nine hospitals in the northern West Bank, including six governmental, three private, and one educational hospital. Results: A total of 180 nurses participated in the study, with 61.7% having moderate knowledge of physical restraints and 80.6% displaying neutral attitudes toward their use. Notably, 58.3% of nurses consistently applied correct practices for physical restraints. Male nurses and those working in private hospitals or specific ICUs demonstrated significantly higher knowledge and practice scores. Conclusion and Recommendations: ICU nurses in Palestinian hospitals have insufficient knowledge, neutral attitudes, and good practices concerning physical restraints. Improving patient care and safety requires addressing these issues and promoting standardized protocols can improve patient care and safety. The study underscores the need for continuous learning and research to ensure ethical standards and improve the quality of care for ICU nurses. The study recommends longitudinal research across hospital settings, evaluation of educational interventions, in-service training, and standardized protocols. It also recommends family involvement in decision-making, non-physical alternatives, and regular assessment. It also suggests exploring gender dynamics in restraint application and targeted training for female nurses